Public Record
Bayshore Pointe Nursing and Rehab Center
Operated by Sovereign Healthcare Holdings
From CMS
Facility profile
- CMS overall rating
- 3 / 5
- Certified beds
- 117
- Avg. residents per day
- 105.5
*CMS Five-Star
*CMS
*CMS
Inspection record
On record from CMS
- Health citations
- 33
- Fire safety findings
- 8
- Inspections on file
- 8
- Last inspection
- 2024-09-21
*CMS
*CMS
*CMS
*CMS
Citations
33 citations on record
Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
- 0584Generalpotential for harm
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- 0645Generalpotential for harm
PASARR screening for Mental disorders or Intellectual Disabilities
- 0686Generalpotential for harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- 0688Generalpotential for harm
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
- 0693Generalpotential for harm
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
- 0698Generalpotential for harm
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- 0726Generalpotential for harm
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
- 0761Generalpotential for harm
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- 0773Generalpotential for harm
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
- 0791Generalpotential for harm
Provide or obtain dental services for each resident.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0755Generalpotential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- 0622Generalpotential for harm
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
- 0697Seriousactual harm
Provide safe, appropriate pain management for a resident who requires such services.
- 0677Generalpotential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
- 0867Generalpotential for harm
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0550Generalpotential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- 0578Generalpotential for harm
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- 0677Generalpotential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
- 0760Generalpotential for harm
Ensure that residents are free from significant medication errors.
- 0803Generalpotential for harm
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
- 0804Generalpotential for harm
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- 0806Generalpotential for harm
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0881Generalpotential for harm
Implement a program that monitors antibiotic use.
- 0761Generalpotential for harm
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- 0755Generalpotential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- 0684Generalpotential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 0656Generalpotential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- 0578Generalpotential for harm
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- 0758Generalpotential for harm
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Inspection history
Every health inspection on record
Each CMS health inspection of this facility, and the deficiencies the surveyors cited. Where the verbatim Form 2567 statement of deficiencies is on file, it links to the full report.
- View inspection reportInspection
- View inspection reportInspectionFire Safety3 deficiencies
- Inspection12 deficiencies
105650 09/21/2024 Bayshore Pointe Nursing and Rehab Center 3117 W Gandy Blvd Tampa, FL 33611 F 0584 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited…
Read full statement of deficiencies - Inspection2 deficiencies
105650 09/08/2023 Bayshore Pointe Nursing and Rehab Center 3117 W Gandy Blvd Tampa, FL 33611 F 0622 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey…
Read full statement of deficiencies - Inspection3 deficiencies
105650 07/11/2023 Bayshore Pointe Nursing and Rehab Center 3117 W Gandy Blvd Tampa, FL 33611 F 0677 Provide care and assistance to perform activities of daily living for any resident who is unable. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN…
Read full statement of deficiencies - Inspection9 deficiencies
105650 06/23/2022 Bayshore Pointe Nursing and Rehab Center 3117 W Gandy Blvd Tampa, FL 33611 F 0550 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his…
Read full statement of deficiencies - View inspection reportInspectionFire Safety3 deficiencies
- Inspection7 deficiencies
105650 02/26/2021 Bayshore Pointe Nursing and Rehab Center 3117 W Gandy Blvd Tampa, FL 33611 F 0578 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to…
Read full statement of deficiencies - View inspection reportInspectionFire Safety2 deficiencies
Ownership
Sovereign Healthcare Holdings
43nursing homes nationwide, in CMS records
31 in Florida, 12 in other states.
Counted from the chain CMS itself discloses for this home, which matches CMS Care Compare. ReadyRule's own common-control analysis is a separate and broader lens, and the two can differ.
FAQ
Questions and answers
- What is Bayshore Pointe Nursing and Rehab Center?
- Bayshore Pointe Nursing and Rehab Center is a Medicare- and Medicaid-certified nursing home in Tampa, FL, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 105650.
- What is the CMS rating for Bayshore Pointe Nursing and Rehab Center?
- Bayshore Pointe Nursing and Rehab Center has a CMS overall rating of 3 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
- How many beds does Bayshore Pointe Nursing and Rehab Center have?
- Bayshore Pointe Nursing and Rehab Center is certified for 117 beds. It serves an average of 105.5 residents per day.
- How many citations does Bayshore Pointe Nursing and Rehab Center have?
- Bayshore Pointe Nursing and Rehab Center has 33 citations on record from CMS health inspections, each tied to a federal deficiency tag.
- When was Bayshore Pointe Nursing and Rehab Center last inspected?
- Bayshore Pointe Nursing and Rehab Center was last inspected on September 21, 2024. CMS surveys nursing homes about once a year and after complaints.
- What can I do if I have concerns about care at this facility?
- Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.
*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.
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